Petition for Academic Reinstatement

To petition for reinstatement to Prairie State College, you must complete this form and submit a summary that will be reviewed by the Dean's Committee on Reinstatement.

PSC ID Number * Full Name * Home Street Address * Phone Number * PSC Email Address *

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Please answer the following questions.

What happened to prevent you from achieving a 2.0 this term or past terms? * If your appeal for reinstatement is granted, what measures will you take to ensure your academic success? *

Additional Documentation

Reinstatement Summary

 

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Student Signature *

Date: Saturday, 4 December 2021 (EST)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

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You will receive a decision in writing from the Dean of Student Services three (3) weeks following the submission of your appeal.

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